RV SPACE APPLICATION
Riverwalk RV Park and Campground in Fortuna California
Expected Arrival Date
*
-
Month
-
Day
Year
Date
Expected Length of Stay
*
APPLICANT INORMATION
Name
*
First Name
Middle Name
Last Name
Social Security Number
Drivers License
*
State on Drivers License
*
Birthdate
*
-
Month
-
Day
Year
Date
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
SPOUSE/OTHER ADULT INFORMATION
Name
First Name
Middle Name
Last Name
Birthdate
-
Month
-
Day
Year
Date
Social Security Number
Drivers License Number
State on Drivers License
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
ADDITIONAL APPLICANTS
Name all other persons who will occupy the premises. A separate application is required for allapplicants 18 years or older, except spouses. Additional charges may apply
Name
First Name
Last Name
Relationship to main application
Birthdate
-
Month
-
Day
Year
Date
Name
First Name
Last Name
Relationship to main applicant
Birthdate
-
Month
-
Day
Year
Date
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RV INFORMATION
*
Year
Make/Model
RV Plate
*
Length
# of slides
Type of RV
*
Fifth--Wheel
Travel Trailer
Motorhome
Other
Please include pictures of the outside of your RV
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
VEHICLES
List all vehicles and/or motorcycles to be on the premises. Parking is limited and you may be asked to findalternate parking arrangements for certain vehicles
Vehicle # 1
*
Year & Type
Color
Make & Model
Plate #
Vehicle # 1
Year & Type
Color
Make & Model
Plate #
PETS
Dog
Cat
Bird
Other
None
Type
Breed
Color
Weight
Dog
Cat
Bird
Other
None
Type
Breed
Name
Color
Weight
Nuetered?
Yes
No
Up to date on vaccines?
Yes
No
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ADDRESS HISTORY
Present Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
*
Landlord
How long at this addredd
Previous Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Landlord
Phone Number
How long at this addredd
Reason For Leaving
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APPLICANT EMPLOYMENT HISTORY
Current Employer
*
Business Name
City
*
Position Held
Supervisors Name
Supervisors Phone Number
*
-
Month
-
Day
Year
Start Date
-
Month
-
Day
Year
End Date
*
Gross Montly Income
Previous Employer
Business Name
City
Position Held
Supervisors Name
Supervisors Phone Number
-
Month
-
Day
Year
Start Date
-
Month
-
Day
Year
End Date
Gross Montly Income
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SPOUSE/OTHER ADULT EMPLOYMENT HISTORY
If you do not have a spouse please skip to next section
Current Employer
Business Name
City
Position Held
Supervisors Name
Supervisors Phone Number
-
Month
-
Day
Year
Start Date
-
Month
-
Day
Year
End Date
Gross Montly Income
Previous Employer
Business Name
City
Position Held
Supervisors Name
Supervisors Phone Number
-
Month
-
Day
Year
Start Date
-
Month
-
Day
Year
End Date
Gross Montly Income
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ADDITIONAL QUESTIONS
Will the applicant maintain RV insurance?
*
Yes
No
Has the applicant ever been evicted?
*
Yes
No
Been asked to move out by the landlord?
*
Yes
No
Breached a lease or rental agreement?
*
Yes
No
Been convicted of a crime?
*
Yes
No
Been sued for nonpayment of debt?
*
Yes
No
Please explain questions that have been answered yes:
*
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Personal References
1st Reference
*
First Name
Last Name
Relationship to Applicant
*
Please enter a valid phone number.
2nd Reference
*
First Name
Last Name
Relationship to Applicant
*
Please enter a valid phone number.
3rd Reference
*
First Name
Last Name
Relationship to Applicant
*
Please enter a valid phone number.
EMERGENCY CONTACT
*
First Name
Last Name
*
Please enter a valid phone number.
*
Relationship to applicant
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Submit
AGREEMENT & AUTHORIZATION SIGNATURE
I believe the statements I have made are true and correct. I authorize verification of the information I have provided and communication with all the names that have been listed on this application. I understand this is an application to rent an RV space and does not constitute a rental agreement in whole or part. If the application is approved and I decide to rent a space, I agree to be bound by the terms of the contract and the rules and regulations.
APPLICANT
FULL NAME
Date
SPOUSE/OTHER ADULT
FULL NAME
DATE
Should be Empty: